Organization Active NPI

Empire Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Bakersfield, CA
National Provider Identifier
1033222989
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
Z18704 Issued in CA
Legal business name
EMPIRE SURGERY CENTER
Practice address
4101 Empire Drive
Suite 130
Bakersfield, CA 93309
Phone
(661) 325-1900
Fax
(661) 325-1960
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sandy Reed
Title
Credentialing/Billing Manager
Phone
(661) 843-7612

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Z18704 CA Primary
Ambulatory Surgical Clinic/Center 261QA1903X

Addresses

Primary practice location

4101 Empire Drive
Suite 130
Bakersfield, CA 93309

Mailing address

4101 Empire Drive
Suite 130
Bakersfield, CA 93309
Phone (661) 325-1900

Other identifiers 2

IdentifierTypeStateIssuer
490005547OtherCAMEDICARE RAILROAD
SUR01478GMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050523000407 CA Part B Supplier - Ambulatory Surgical Center 8325080112 Receives reassigned benefits from 2 practitioners
Practice locations: Bakersfield, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Empire Surgery CenterCCN 05C0001478
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0971217Empire Surgery Center4101 Empire Drive Ste 130, Bakersfield, CA 93309Certificate of waiverMar 6, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1033222989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 EMPIRE DRIVE",
            "address_2": "SUITE 130",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93309",
            "telephone_number": "661-325-1900",
            "fax_number": "661-325-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 EMPIRE DRIVE",
            "address_2": "SUITE 130",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93309",
            "telephone_number": "661-325-1900",
            "fax_number": "661-325-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "CREDENTIALING/BILLING MANAGER",
        "authorized_official_telephone_number": "661-843-7612"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "Z18704",
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "490005547",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR01478G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.